Two patients developed orbital infection secondary to dental infections. In one patient the infection spread from maxillary premolar and molar teeth to the infratemporal and pterygopalatine fossa and then through the inferior orbital fissure to the subperiosteal space. A subperiosteal abscess in the posterior orbital wall developed, which subsequently spread within the muscle cone. In the secon...

CASE REPORT A 25-year-old woman with right subacute sinusitis, complained about discomfort in her right eye. Clinical manifestations and computed tomography were suggestive of sub-periosteal orbital ethmoid wall abscess, for which the patient underwent urgent drainage. A solid tumor was found, with a positive biopsy for alveolar rhabdomyosarcoma. Complete remission and resolution of orbital sym...

Orbital cellulites is an uncommon infectious process in which patient may present with pain, reduced visual acuity, compromised ocular motility and significant proptosis. [1][3] In the modern era of relatively early access to the health care facilities, complete loss of vi‐ sion from orbital cellulitis is rare. In the vast majority of cases, a history of upper respirato‐ ry tract infection prio...

AIM Presenting a rare complication of an odontogenic infection extending to the orbit. BACKGROUND A 45-year-old male patient reported with periorbital swelling of eyelids, of the left eye, foul smelling nasal discharge and a pus draining sinus on the left lower eyelid area. CASE DESCRIPTION The patient gave history of pain in the left upper first molar tooth 1 week back. His intraoral exami...

Introduction: The incidence of orbital subperiosteal abscess (OSA) in pediatric population is 15% of the orbital infections, being acute sinusitis the most frequent cause of this complication. The diagnosis of OSA is based on clinical examination and imaging. Treatment usually includes IV antibiotics, nasal decongestants and surgical drainage if necessary. If inadequately treated, orbital cellu...

bitis can progress very rapidly— often in a matter of hours—and even with appropriate surgical and antibiotic treatment, it can be fatal or result in serious complications. Escardo et al reported a case of orbital cellulitis caused by F necrophorum that required 3 urgent surgical interventions and 30 days of intravenous antibiotic treatment. Despite this intensive treatment, the patient’s visio...

OBJECTIVE To determine the factors influencing the surgical approach to a pediatric subperiosteal orbital abscess (PSPOA), more specifically, comparing external (E) vs transnasal endoscopic (TNE) surgical approaches. DESIGN A retrospective medical chart review. SETTING Children's National Medical Center in Washington, DC. PATIENTS All pediatric patients who underwent surgical treatment of...

PURPOSE To report an unusual presentation of tuberculosis. CASE REPORT A six-year old boy presented with left upper lid swelling of 15 days' duration and an asymptomatic midline neck mass from 2 months ago. Imaging studies, and microbiologic tests which demonstrated acid-fast bacilli in the fine needle aspirate of the thyroid mass, both confirmed a diagnosis of cold tuberculous thyroid absces...

An orbital abscess is a severe infectious disease of the eye and carries the risks of visual loss and intracranial complications. Timely treatment in an infant is crucial in order to save sight and can prevent unnecessary morbidity and mortality. We report a case of an orbital abscess in an infant who underwent surgical drainage and medical management. The unique clinical and radiological featu...

OBJECTIVES Computed tomography (CT) is used often in the evaluation of orbital infections to identify children who are most likely to benefit from surgical intervention. Our objective was to identify predictors for intraorbital or intracranial abscess among children who present with signs or symptoms of periorbital infection. These predictors could be used to better target patients for emergent...